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Medical Forum / Diseases and Disorders / Asthma / November 2006

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conjestion and mucus after drinking plain water

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runcyclexcski@yahoo.com - 21 Nov 2006 06:22 GMT
I've figured out that, in my case, drinking plain water triggers
excessive mucus accumulation and leads to chest conjestion. The phlegm
appears within seconds after the first sip of water.

Sorry, I understand that I've been asking too many questions here
recently, but... This is just one piece of the puzzle, more or less
defined ("water" is better defined than "meal"), that I am trying to
understand. How can, in scientific, or semi-scientific terms, a sip of
water make one sick? Everybody recommends drinking water for asthma, to
make the mucus move, from quack doctors to MD. In my case, it takes 2
hrs after drinking water to recover after drowning in my own fluids.
This makes me avoid fluid intakes. So, I guess, the mucus does get
moved, but not exactly the right way.

What's the current view on this? I've read that, for GERD, water should
be BETTER, since it dilutes the acid and increases the pH. If it's not
GERD, then, what?
00doc - 23 Nov 2006 01:27 GMT
> I've figured out that, in my case, drinking plain water triggers
> excessive mucus accumulation and leads to chest conjestion. The phlegm
[quoted text clipped - 13 lines]
> be BETTER, since it dilutes the acid and increases the pH. If it's not
> GERD, then, what?

I think that the vast majority of what you will read is hooey. There seems
to be a certain continfent out there that loves to advise water use without
any evidence.

I doubt it has much effect on secretions. Evewn if it does there has been no
clear benefit from thinning them by other means.

The whole drink 8 8 oz glasses a day thing is based on a misunderstanding of
basic metabolism and misapplication of principles of IV hydration.

The idea that dilute urine is somehow easier on the kidneys than making
concentrated urine (i.e. urine with some color) - barring overt
dehydration - is wrong and based on a misunderstanding of how the kidneys
work.

I can think of ways that water would be bad for GERD as well as good. The
dilution of acid is likely to be minimal (remember pH is a log scale - you
will need to dilute 10 times to change the pH by one point) and brief (the
water leaves the stomach quickly). However, the increased volume and
decreased viscosity of the stomach contents will make them more likely to be
pushed back up into the espophagus.

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00doc

runcyclexcski@yahoo.com - 23 Nov 2006 20:19 GMT
being hydrated is definitely good for my exercise routine (2-4 hrs 5
days a week). that's why avoiding fluids in my case is
counter-productive.

the argument about the pH scale makes sense, I should've realized that.

I am surprised that the response is so fast - several seconds for water
provoking GERD, acid going into esphagus, getting sucked into airways,
airways secreting more mucus, mucus getting into the throat.

can I tell from the mucus where it comes from? (e.g. if I look at it
under a microscope, can I tell if it comes from the lungs or the
sinuses?)
runcyclexcski@yahoo.com - 23 Nov 2006 20:21 GMT
However, the increased volume and
> decreased viscosity of the stomach contents will make them more likely to be
> pushed back up into the espophagus.

00doc,

does this suggest that consuming "slimy" fluids should be better for
GERD that plain water, and, as a result, should be better asthma? I
remember reading that "slimy" stuff is actually worse (the source was
not scientific).
j r - 25 Nov 2006 15:50 GMT
Is the water very cold? cold liquids trigger my asthma, especially in the
winter.

> I've figured out that, in my case, drinking plain water triggers
> excessive mucus accumulation and leads to chest conjestion. The phlegm
[quoted text clipped - 13 lines]
> be BETTER, since it dilutes the acid and increases the pH. If it's not
> GERD, then, what?
runcyclexcski@yahoo.com - 26 Nov 2006 05:16 GMT
> Is the water very cold? cold liquids trigger my asthma, especially in the
> winter.

Drinking "room temperature" water triggers the mucus, too.

I am not convinced that the mucus production and brochial constriction
(chest tightness) are the same thing. The mucus is often the only
symptom I have. SO, I am still not convinced that mucus production, w/o
chest tightness, and w/o a change in the peak flow, is asthma.
 
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